Individual provider Active NPI

Chelsea Mary Patow, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1093089849
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8167-C Issued in NV
Practice address
3161 E Warm Springs Rd Ste 300
Las Vegas, NV 89120-3144
Phone
(702) 750-6225
Fax
(844) 965-9650
NPI assigned
Feb 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8167-C NV Primary

Addresses

Primary practice location

3161 E Warm Springs Rd Ste 300
Las Vegas, NV 89120-3144

Mailing address

3450 Erva St Apt 135
Las Vegas, NV 89117-6316
Phone (702) 750-6225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210203001146 NV Practitioner - Clinical Social Worker 3678908704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8167-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
KC West LCSW Clinical Counseling Services CurrentSince Aug 2, 2020 Accepting new patients
Serenity Counseling LLC CurrentSince Sep 12, 2020 Accepting new patients
Kelsey Karr Therapy, LLC Clinical CurrentSince Feb 7, 2021 Accepting new patients

Locations

1901 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 486-0000

6048 S Durango Dr
Ste 115
Las Vegas, NV 89113
Phone (702) 815-1554

3161 E Warm Springs Rd
Ste 300
Las Vegas, NV 89120
Phone (702) 305-5490

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1093089849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 ERVA ST APT 135",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891176316",
            "telephone_number": "702-750-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 E WARM SPRINGS RD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203144",
            "telephone_number": "702-750-6225",
            "fax_number": "844-965-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATOW",
        "first_name": "CHELSEA",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-25",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8167-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.